低水平铅暴露对1~3岁幼儿智能发育的影响及干预指导.pdfVIP

第3l卷 【期 1 J ． 研 究 V01 3 O l 4 2002年 2月 JOURNAL OF HYGIENE RESEARCH Feb 2o02 文章编号：1000—8020(2002)0l一0O04—03 · 论 著 · 低水平铅暴露对l～3岁幼儿智能发育的影响及干预指导 吕 京 张丽丽 戴耀华。 刘桂兰。 崔 涛 谢广云 贺锡雯 中国预防医学科学院劳动卫生与吧业病研究所，北京 100050 摘要：为评价低水平铅暴露对l一3岁幼儿智能发育的影响，以厦对幼儿血铅水平进行监洲的可行性，选 择＆5名l一3岁幼儿，采用发育量表对儿童发育商进行评竹，并通过多因素回归分析寻找影响幼儿血铅水霉 的因素。鲒果显示，85名 【一3岁幼儿血铅几何均值为(59±2) L．血铅≥lOOpg／L的比例为22％ 血铅每 升高10o L．幼儿发育商平均下降3～4分 影响幼儿血铅水平的因素主要有：年龄、每 乇路建花费时间、短 前洗手习惯厦割画墙壁、油漆家具的不良习滑 提示l～3岁幼儿发育商的损失与环境低水平铅暴露有关。 将幼儿血铅的十体监剥，刊为儿保检查项目具备可行性，对儿童保健有重要意义 关键词：铅 儿童 发育商 干预 中囤分类号：R179 R994．6 文献标识码：A Effects of low-level lead exposure on neurobehaviour development in 1-3 year·old children and the intervention guideline Lii Jing，ZhaRg Lili，Dai Yaohua，Liu Guilan，et a／ hlstitute of Occupational Medicine．cILi ~cademy of Preventive Medicine，Beiji．g 100050，China Ab~raet：In order to studv the effects of low—leveI lead exposure 0n neumbehaviotrv development the neurobehav[our functiotls in eighty—fi,e 1-3 year—old children wet-e assessed by Ne~behaviour Psychological Test(recon ended by the In stitute of Psychology-，Chinese Academy of Sciences) The results showed that the increase of blood l∞d【BPb)level in each IOOvg／L s associated with an average loss of 3—4 points of Development Quotient(OQ)in these subjects Age． hand—mouth habits and environmental lead pollution a陀 the main risk fac rs．It is concluded that eVeH in a low-level lead exposure DQ in young children may be effeeted．Certain intervention steps based on the~vels 0flead exposttre were Fec on*mended Key words：lead